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Application Information

First Name*

Middle Name

Last Name*

Email*

Daytime Phone*

Upload Resume

Resume (Only if UNABLE to upload resume)

Equal Opportunity

J-U-B ENGINEERS, Inc. is an Equal Opportunity Employer. We are a company that values diversity. We actively encourage women and minorities to apply. As required by Federal law and as a part of our Affirmative Action Program, we must gather statistical information and maintain accurate recruitment and selection data to ensure Equal Employment Opportunity.

Your voluntary responses will remain confidential and will not become part of your employment application. Thank you for your cooperation!

Ethnicity/Race: Please check box with which you identify. &nbsp&nbspSee Definition

ETHNICITY/RACE DEFINITIONS:

American Indian or Alaskan Native: a person having origins in any of the original peoples of North and South America (including Central America) and who maintain tribal affiliation or has community recognition as an American Indian or Alaska Native.

Asian: a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including for example: Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

Black or African American: a person having origins in any of the black racial groups of Africa.

Hispanic or Latino Origin: a person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin regardless of race.

Native Hawaiian or Other Pacific Islander: a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White: a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Two or More Races (Not Hispanic or Latino): all persons who identify with more than one of the above categories.

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Gender: Please check the box with which you identify.

*

Veteran Status: Please check box with which you identify.&nbsp&nbsp See Definition

VETERAN DEFINITION:

A “Vietnam-Era Veteran” mean a person who:

Served on active duty for more than 180 days AND was discharged or released from the military where any part of your active duty was performed (a) in the Republic of Vietnam between February 28, 1961 and May 7, 1975; or (b) in any other part of the world between August 5, 1964 and May 7, 1975. OR

Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed (a) in the Republic of Vietnam between February 28, 1961 and May 7, 1975; or (b) in any other part of the world between August 5, 1964 and May 7, 1975.

A “Disabled Veteran” is one of the following:

a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or

a person who was discharged or released from active duty because of a service-connected disability.

A “Recently Separated Veteran” means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An “Active Duty Wartime or Campaign Badge Veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An “Armed Forces Service Medal Veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

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Do you have a disability or previously had a disability? &nbsp&nbspSee Definition

DISABILITY DEFINITION:

Individual with Disabilities Defined as a person who (1) has a physical or mental impairment which substantially limits one or more of his or her major life activity(s), (2) has a record of such impairment(s), or (3) is regarded as having such impairment(s).

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Have you applied with JUB within the past 30 days?*

No, fill out application

Yes, skip application

Personal Information

Evening Phone

Other Phone

Street Address*

Street AddressCityStateZIP Code

Date Available

Are you able to perform all of the job duties as described with or without reasonable accommodations?*

Yes

No

If No, please describe the functions that cannot be performed:

Are you legally eligible for employment in the United States?*

Yes

No

Are you subject to a non-compete or other agreement with your current employer that may restrict your ability to perform work for J-U-B? (if yes please provide a copy of the agreement)*

Yes

No

Have you ever been convicted of a crime (excluding misdemeanors and summary offenses)?*

(a conviction will not automatically disqualify you from consideration.)

Yes

No

If yes, please describe in full (falsification will be grounds for dismissal):

Do you have any friends, relatives, or acquaintances working for the company?

Yes

No

If yes, state Name & Relationship

Education Information

School

Location

Course of Study

Diploma / Degree

add more education

School

Location

Course of Study

Diploma / Degree

add more education

School

Location

Course of Study

Diploma / Degree

Professional Status and/or License / Registration / Certification

List all professional registrations and certifications including, but not limited to, professional engineer, structural engineer, engineer-in-training, professional traffic operations engineer, professional land surveyor, land surveyor-in-training , or others.

Registration/Certification

State

License Number

Date Granted

(click + to add more)

Professional Affiliations

List professional organization memberships (including leadership positions), that are pertinent to the position. (Exclude those which indicate age, race, color, sex, religion, national origin, or disability)

Professional Organization

(click + to add more)

Professional Papers/Awards

List professional papers, publications, and/or awards that are pertinent to the position

Employment History

GIVE ACCURATE AND COMPLETE EMPLOYMENT HISTORY, INCLUDING FULL AND PART-TIME JOBS. PLEASE START WITH CURRENT OR MOST RECENT EMPLOYER.

Company

From

To

Street Address

City

State

Zip Code

Title

Department

Supervisor

Start Salary

End Salary

Duties

Reason for Leaving

May we Contact this employer?

Yes

No

add more employment

Employment History

Company

From

To

Street Address

City

State

Zip Code

Title

Department

Supervisor

Start Salary

End Salary

Duties

Reason for Leaving

May we Contact this employer?

Yes

No

add more employment

Employment History

Company

From

To

Street Address

City

State

Zip Code

Title

Department

Supervisor

Start Salary

End Salary

Duties

Reason for Leaving

May we Contact this employer?

Yes

No

add more employment

Employment History

Company

From

To

Street Address

City

State

Zip Code

Title

Department

Supervisor

Start Salary

End Salary

Duties

Reason for Leaving

May we Contact this employer?

Yes

No

References

Please list three professional references, excluding former employers or relatives.

Name

Occupation

Address

Phone

(click + to add more)

Applicant's Certification and Agreement

I hereby affirm and declare that all the foregoing statements are true and correct, and that I have not knowingly withheld any fact that would, if disclosed, affect my application unfavorably. I understand and agree that any omission, false statement, misleading statement, or answer made by me on my application or any supplements to it and in any interviews will be sufficient cause for rejection of employment and discharge if already employed by J-U-B.

By carefully reviewing and signing a Disclosure and Authorization Form to obtain a background check for employment purposes, I have authorized J-U-B or its agents to conduct any investigation it deems necessary. I also hereby authorize J-U-B to release such information, together with its opinions on these matters, without any liability for any damage whatsoever caused either directly or indirectly by giving or receiving this information or opinions. I authorize my former and present employers and personal references to give any information they may have concerning my character and employment record.

I understand that employment is at the will and for the convenience of J-U-B, which means either the company or I can terminate the employment relationship at any time, for any reason, and with or without notice. I understand that employee policies adopted by J-U-B shall in no way be interpreted as creating an employment contract or a relationship that is other than an at-will employment relationship.

I acknowledge that final employment will be per the terms of the:

Offer Letter,

J-U-B’s Employee Handbook, and

J-U-B’s Benefit Plan Documents.

Signature of Applicant*

*By typing my name in the signature box, I understand this constitutes a legal signature and I agree to the terms listed above.